How much rates vary
Facilitymedian $891 · 10th to 90th $468 to $3,631Professionalmedian $977 · 10th to 90th $550 to $4,074
Distribution of negotiated rates across all payers (price axis is log-scale). Need provider-level prices or 24+ months of history? Contact us.
Rates by insurance carrier
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Facility Modifier None Typical Low $1,479.11 Median $2,818.38 Typical High $5,128.61 | Facility | None | $1,479.11 | $2,818.38 | $5,128.61 |
Aetna Setting Professional Modifier None Typical Low $549.54 Median $549.54 Typical High $794.33 | Professional | None | $549.54 | $549.54 | $794.33 |
AllWays Health Partners Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $3,548.13 | Facility | None | $446.68 | $1,258.93 | $3,548.13 |
AllWays Health Partners Setting Professional Modifier None Typical Low $630.96 Median $1,548.82 Typical High $4,073.80 | Professional | None | $630.96 | $1,548.82 | $4,073.80 |
Cigna Setting Facility Modifier None Typical Low $446.68 Median $870.96 Typical High $1,288.25 | Facility | None | $446.68 | $870.96 | $1,288.25 |
Cigna Setting Professional Modifier None Typical Low $758.58 Median $912.01 Typical High $1,348.96 | Professional | None | $758.58 | $912.01 | $1,348.96 |
Fallon Health Setting Facility Modifier None Typical Low $602.56 Median $794.33 Typical High $3,311.31 | Facility | None | $602.56 | $794.33 | $3,311.31 |
Fallon Health Setting Professional Modifier None Typical Low $691.83 Median $812.83 Typical High $1,071.52 | Professional | None | $691.83 | $812.83 | $1,071.52 |
Harvard Pilgrim Setting Facility Modifier None Typical Low $501.19 Median $1,318.26 Typical High $5,128.61 | Facility | None | $501.19 | $1,318.26 | $5,128.61 |
Harvard Pilgrim Setting Professional Modifier None Typical Low $660.69 Median $1,258.93 Typical High $1,737.80 | Professional | None | $660.69 | $1,258.93 | $1,737.80 |
Mass General Brigham Setting Facility Modifier None Typical Low $446.68 Median $1,258.93 Typical High $3,548.13 | Facility | None | $446.68 | $1,258.93 | $3,548.13 |
Mass General Brigham Setting Professional Modifier None Typical Low $630.96 Median $1,548.82 Typical High $4,073.80 | Professional | None | $630.96 | $1,548.82 | $4,073.80 |
United Setting Facility Modifier None Typical Low $575.44 Median $1,380.38 Typical High $6,165.95 | Facility | None | $575.44 | $1,380.38 | $6,165.95 |
United Setting Professional Modifier None Typical Low $588.84 Median $794.33 Typical High $2,344.23 | Professional | None | $588.84 | $794.33 | $2,344.23 |
Well Sense Setting Facility Modifier None Typical Low $416.87 Median $575.44 Typical High $870.96 | Facility | None | $416.87 | $575.44 | $870.96 |
Well Sense Setting Professional Modifier None Typical Low $389.05 Median $389.05 Typical High $524.81 | Professional | None | $389.05 | $389.05 | $524.81 |
8 more rates with less common billing modifiers
A modifier changes what was billed, for example a reduced or repeated service. Each of these modifiers carries under 10% of the published rates for this code. Modifier combinations, and modifiers with fewer than 30 rates for a carrier, are not listed.
| Insurance Carrier | Facility/Professional | Modifier | Typical Low | Median | Typical High |
|---|---|---|---|---|---|
Aetna Setting Professional Modifier 52 · Reduced service Typical Low $275.42 Median $275.42 Typical High $389.05 | Professional | 52 · Reduced service | $275.42 | $275.42 | $389.05 |
Aetna Setting Professional Modifier 53 · Discontinued Typical Low $109.65 Median $109.65 Typical High $154.88 | Professional | 53 · Discontinued | $109.65 | $109.65 | $154.88 |
Aetna Setting Professional Modifier 54 · Surgery only Typical Low $416.87 Median $416.87 Typical High $575.44 | Professional | 54 · Surgery only | $416.87 | $416.87 | $575.44 |
Aetna Setting Professional Modifier 55 · Aftercare only Typical Low $83.18 Median $83.18 Typical High $117.49 | Professional | 55 · Aftercare only | $83.18 | $83.18 | $117.49 |
Aetna Setting Professional Modifier 56 · Pre-op care only Typical Low $54.95 Median $54.95 Typical High $77.62 | Professional | 56 · Pre-op care only | $54.95 | $54.95 | $77.62 |
Aetna Setting Professional Modifier 78 · Unplanned return to OR Typical Low $389.05 Median $389.05 Typical High $537.03 | Professional | 78 · Unplanned return to OR | $389.05 | $389.05 | $537.03 |
Well Sense Setting Professional Modifier 78 · Unplanned return to OR Typical Low $245.47 Median $245.47 Typical High $331.13 | Professional | 78 · Unplanned return to OR | $245.47 | $245.47 | $331.13 |
Well Sense Setting Professional Modifier Q3 · Living kidney donor Typical Low $316.23 Median $316.23 Typical High $426.58 | Professional | Q3 · Living kidney donor | $316.23 | $316.23 | $426.58 |
Where Massachusetts sits
The same service costs 5.5 times more in Alaska than in Texas. Every bar is a state, most expensive first. Touch or drag across it to read any state, then open that state for its carriers and full range.
Massachusetts· 11th of 51
$977
AK $2,188TX $398
Median negotiated rate in each state, from every insurer that publishes one. States where no insurer publishes a rate for this service are not shown.